Individual
JANANI THIRUVENGADAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14807 W 64TH AVE UNIT C, ARVADA, CO 80007-0104
(303) 456-4095
Mailing address
2600 S ROCK CREEK PKWY APT 41-102, SUPERIOR, CO 80027-4581
(516) 655-0108
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
064869
NY
1223G0001X
General Practice Dentistry
Primary
DEN.00206428
CO
Other
Enumeration date
06/26/2023
Last updated
05/07/2026
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